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Grip strength and inflammatory biomarker profiles in very old adults.


ABSTRACT: Background:weak grip strength (GS) and chronic inflammation have been implicated in the aetiology of sarcopenia in older adults. Given the interrelationships between inflammatory biomarkers, a summary variable may provide better insight into the relationship between inflammation and muscle strength. This approach has not been investigated in very old adults (aged ?85) who are at highest risk of muscle weakness. Methods:we used mixed models to explore the prospective association between GS over 5 years in 845 participants in the Newcastle 85+ Study, and inflammatory components identified by principal component analysis (PCA). Cut-offs of ?27 kg (men) and ?16 (women) were used to define sub-cohorts with weak and normal GS at each assessment. Results:PCA identified three components, which explained 70% of the total variance in seven baseline biomarkers. Basal interleukin-6 (IL-6) and tumour necrosis factor (TNF-?) had the highest loadings on Component 1; stimulated IL-6 and TNF-? and homocysteine the highest on Component 2; high-sensitivity C-reactive protein (hsCRP) loaded positively and albumin negatively to Component 3. In adjusted mixed models, only Component 3 was associated with GS. One SD increase of Component 3 was associated with a 0.41 kg lower GS initially (P = 0.03) in all participants, but not with GS decline over time. Similar conclusions held for those in the weak and normal GS sub-cohorts. Conclusion:an inflammatory profile including hsCRP and albumin was independently associated with baseline GS. Future studies linking inflammatory profiles and muscle strength are needed to corroborate these findings in older adults.

SUBMITTER: Granic A 

PROVIDER: S-EPMC5860623 | biostudies-literature | 2017 Nov

REPOSITORIES: biostudies-literature

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Grip strength and inflammatory biomarker profiles in very old adults.

Granic Antoneta A   Davies Karen K   Martin-Ruiz Carmen C   Jagger Carol C   Kirkwood Thomas B L TBL   von Zglinicki Thomas T   Aihie Sayer Avan A  

Age and ageing 20171101 6


<h4>Background</h4>weak grip strength (GS) and chronic inflammation have been implicated in the aetiology of sarcopenia in older adults. Given the interrelationships between inflammatory biomarkers, a summary variable may provide better insight into the relationship between inflammation and muscle strength. This approach has not been investigated in very old adults (aged ≥85) who are at highest risk of muscle weakness.<h4>Methods</h4>we used mixed models to explore the prospective association be  ...[more]

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